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Factors Affecting the Presence of Fever in Children Brought to the Emergency Department with Fever Complaint

Year 2019, Volume: 13 Issue: 2, 212 - 218, 18.06.2019
https://doi.org/10.21763/tjfmpc.569886

Abstract

Introduction: The aim of this study was to determine the knowledge,
attitudes and behaviors of the parents of the children about fever who applied
to the Pediatric Emergency Department with the complaints of fever, and to
investigate the factors affecting fever in children. Method: This cross-sectional study included the parents of 509
children who were taken to Adana Numune Training and Research Hospital
Pediatric Emergency Department with fever complaint between 01.06.2014 and
30.09.2014.Parents' demographic data was recorded.The knowledge, attitude and
behavior of the mothers and fathers about the fever and the degree of fear from
fever were investigated. Body temperaturein admission was recorded.The
chi-square test and Spearman correlation analyses were used to compare the
factors affecting the fever in children. Results:
The mean age of the children, mothers and fathers were 66.4±53.7 months,
32.3±6.5 years and 36.5±7 years respectively. Of the mothers 53.4% and of the
fathers 45% were primary or secondary school graduates. Of the mothers 89.6%
were housewives and of the fathers 91.9% had a regular job. Of the families
48.3% had a low income level. Body temperature measurements in admissions to
the emergency department revealed that 365 (71.7%) children had a fever. And
22% of the mothers stated that they were extremely afraid of their children
having a fever.The fear of fever was found to be significantly decreased as the
education level of the mother increased (X2 = 22.694, p = 0.030). Presence of
the true fever in emergency department admission was positively correlated with
the father's working status, maternal education level and high family income
level (X2=7.148, p=0.008, X2=4.11, p= 0.043,X2=10.020,p=0.002, respectively).
Additionally, the number of people living at home and the number of children at
home were negatively correlated with true high temperature measurements in the
emergency department (r= –0.103, p=0.020, r= –0.091, p=0.041, respectively). Conclusion: We found that rate of true
fever cases in the emergency department was affected by the number of people
and children living at home, the mother's educational status, the father’s
working status of and the average income level of the family.We hope that our
findings will contribute to the studies being performed to prevent unnecessary
admissions to pediatric emergency departments.


Giriş: Çocuk Acil Servisine yüksek ateş yakınmasıyla başvuran
çocukların anne babalarının ateşle ilgili bilgi, tutum ve davranışları
belirlenerek çocuklarda gerçekten yüksek ateş varlığı üzerinde etkili olan
faktörlerin araştırılması amaçlanmıştır. Yöntem:
Bu kesitsel çalışma, l Haziran 2014-30 Eylül 2014 tarihleri arasında Adana
Numune Eğitim ve Araştırma Hastanesi Çocuk Acil Servisine yüksek ateş şikayeti
ile başvuran 509 hastanın aileleri ile yapıldı. Ailelerin demografik veriler
kaydedildi, anne babanın ateşle ilgili bilgi, tutum ve davranışları, ateş
korkularının derecesi araştırıldı ve başvuru anında ateşin kaç derece olduğu
kaydedildi. Çocukların ateşi gerçekten yüksek olması üzerine etkili olan
faktörlerin karşılaştırılmasında Ki-Kare testi ve Spearmann korelasyon analizi
kullanıldı. Bulgular: Çalışmaya
alınan çocukların yaş ortalaması 66.4±53.7 ay, annelerin yaş ortalaması 32.3±
6.5 yıl ve babaların yaş ortalaması 36.5± 7 yıl idi. Annelerin%53.4’ü ve
babaların ise %45’i ilkokul ve ortaokul eğitimi almışlardı. Annelerin %89.6’sı
çalışmayan ev hanımları iken babaların %91.9’unun düzenli bir işi vardı.
Ailelerin %48.3’ü düşük gelir düzeyine sahipti. Çocuk Acil Serviste yapılan
ölçüm sonucu 365 (%71.7) çocuğun ise ateşi vardı. Annelerin %22.0’si
çocuklarının ateşinin yükselmesinden çok fazla korktuklarını belirttiler. Ateş
korkusunun annenin eğitim durumu arttıkça anlamlı olarak azaldığı bulunmuştur
(X2=22.694, p=0.030).Acil Servis başvurusunda çocuğun gerçekten ateşinin olması
üzerinde babanın çalışma durumu,anne eğitim düzeyi ve ailenin gelir düzeyinin
yüksek olması etkili bulunmuştur (sırasıyla X2=7.148, p=0.008, X2=4.11, p=
0.043,X2=10.020,p=0.002). Ayrıca evdeki yaşan kişi sayısı ve çocuk sayısı
arttıkça acil serviste ateşin gerçekten yüksek ölçülme oranının azaldığı
görülmüştür (sırasıyla r= –0.103, p=0.020, r= –0.091, p=0.041). Sonuç: Acil servis başvurusunda ateşin
gerçekten yüksek ölçülmesinin evde yaşayan kişi ve çocuk sayısından, annenin
eğitim durumu, babanın çalışma durumu ve ailenin ortalama gelir düzeyinden
etkilendiğini bulduk. Bulgularımızın çocuk acil servislerine gereksiz
başvuruların önüne geçilmesi amacıyla yapılacak çalışmalara katkı sağlamasını
umuyoruz.

References

  • 1. Massin MM, Montesanti J, Gerard P, Lepage P. Spectrum and frequency of illness presenting to a pediatric emergency department. Acta Clin Belg 2006; 61: 161-165.
  • 2. Armon K, Stephenson T, Gabriel V et al. Determining the common medical presenting problems to an accident and emergency department. Arch Dis Child 2001; 84(5):390–392.
  • 3. Finkelstein JA, Christiansen CL, Platt R. Fever in pediatric primary care: occurrence, management, and outcomes. Pediatrics 2000, 105:260–266.
  • 4. Serwint JR, Thoma KA, Dabrow SM et al. Comparing patients seen in pediatric resident continuity clinics and national ambulatory medical care survey practices: a study from the continuity research network. Pediatrics 2006, 118:e849–e858.
  • 5. Nieldand LS, Kamat D. Fever. In Kliegman RM, editor. Nelson Textbook of Pediatrics, 20th Ed. Philadelphia: Elseviver; 2016, p. 1277-1279
  • 6. Seçmeer G. Ateşli çocuğa etiyolojik yaklaşım. Katkı Pediatri Dergisi, Ateş 2007; 29(4): 359-368
  • 7. Roberts NJ, Steigbigel RT. Hyperthermia and human leukocyte function: effects on response of lymphocytes to mitogens and antigen and bactericidal capacity of monocytes and neutrophils. Infect Immunol 1977;18:673–9.
  • 8. Ahmady AS, Samadi AR. The adverse effects of antipyretics in measles. Indian Pediatr 1981; 18:49–52.
  • 9. Bernheim HA, Bodel PT, Askenase PW et al. Effects of fever on host defense mechanisms after infection in the lizard Dipsosaurus dorsalis. Br J Exp Pathol 1978; 59: 76–84.
  • 10. Ruiz-Gomez J, Isaacs A. Interferon production by different viruses. Virology 1963; 19:8–12.
  • 11. Schmitt BD. Fever phobia: misconceptions of parents about fevers. Am J Dis Child 1980; 134(2): 176-81.
  • 12. Crocetti M, Moghbeli N, Serwint J. Fever phobia revisited: have parental misconceptions about fever changed in 20 years. Pediatrics 2001; 107:1241-1246.
  • 13. Halıcıoğlu O, Koç F, Akman SA, Teyin A. In feverish children, mothers’ knowledge and home management about fever and its relationship with sociodemographical characteristics. (In Turkish) Journal of Dr. Behcet Uz Children's Hospital 2011;1(1):13-19.
  • 14. Saz EU, Koturoğlu G, Duyu M et al.Fear of Fever and Fever Management in Turkish Families (In Turkish) J Pediatr Inf 2009; 3:161-4.
  • 15. Esenay F, İşler A, Kurugöl Z et al. Mothers’ approach to feverish child and fever phobia. (In Turkish) Turk Arch Ped 2007;42:57-60.
  • 16. Nerkiz P, Doğaner YÇ, Aydoğan Ü et al. Families’ Approach to Feverish Children and Fever Awareness. (In Turkish) Euras J FamMed 2012;1(1):11-16.
  • 17. Yiğit R, Esenay F, Şen E, Serinol Z. Mothers’ Information and Applications about High Fever. (In Turkish) Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2003; 6:48-56.
  • 18. Celasin NŞ, Ergin D, Atman Ü. Attitudes and Knowledge Concerning High Temperature of Mothers Have 0-6 Age Group Infants Who Are Hospitalized Due To High Temperature Ailments. (In Turkish) Fırat University Med J of Health Sciences2008;22(6): 315-322
  • 19. El-Radhi ASM. Fever management: Evidence vs current practice. World J Clin Pediatr 2012; 1(4): 29-33.
  • 20. Saz EU, Koturoğlu G, Duyu M et al. Fears of Fever and Fever Management in Turkish Families. (In Turkish), Pediatr Inf 2009; 3: 161-164.
  • 21. Araz NÇ. Parents’ Approach to Fever in Childhood: Knowledge, Attitudes and Applications. (In Turkish), Turkish J Pediatr Dis 2013; 1: 27-32.
  • 22. Kramer M, Naimark L, Leduc D. Parental fever phobia and its correlates. Pediatrics 1985. 75:1110-1113.
  • 23. Arıca SG, Arica V, Onur H et al. Knowledge, Attitude and Response of Mothers about Fever in Their Children. Emerg Med J 2012; 29: e4.
  • 24. Eliaçık K, Kanık A, Oyman G et al. Knowledge, Belief and Misconceptions of the Parents about Fever. (In Turkish) J of Adnan Menderes Uni Med Fac 2012;13(1): 5-7
  • 25. McErlean MA, Bartfield JM, Kennedy DA et al. Home antipyretic use in children brought to the emergency department Pediatr Emerg Care 2001; 17(4): 249-251.
Year 2019, Volume: 13 Issue: 2, 212 - 218, 18.06.2019
https://doi.org/10.21763/tjfmpc.569886

Abstract

References

  • 1. Massin MM, Montesanti J, Gerard P, Lepage P. Spectrum and frequency of illness presenting to a pediatric emergency department. Acta Clin Belg 2006; 61: 161-165.
  • 2. Armon K, Stephenson T, Gabriel V et al. Determining the common medical presenting problems to an accident and emergency department. Arch Dis Child 2001; 84(5):390–392.
  • 3. Finkelstein JA, Christiansen CL, Platt R. Fever in pediatric primary care: occurrence, management, and outcomes. Pediatrics 2000, 105:260–266.
  • 4. Serwint JR, Thoma KA, Dabrow SM et al. Comparing patients seen in pediatric resident continuity clinics and national ambulatory medical care survey practices: a study from the continuity research network. Pediatrics 2006, 118:e849–e858.
  • 5. Nieldand LS, Kamat D. Fever. In Kliegman RM, editor. Nelson Textbook of Pediatrics, 20th Ed. Philadelphia: Elseviver; 2016, p. 1277-1279
  • 6. Seçmeer G. Ateşli çocuğa etiyolojik yaklaşım. Katkı Pediatri Dergisi, Ateş 2007; 29(4): 359-368
  • 7. Roberts NJ, Steigbigel RT. Hyperthermia and human leukocyte function: effects on response of lymphocytes to mitogens and antigen and bactericidal capacity of monocytes and neutrophils. Infect Immunol 1977;18:673–9.
  • 8. Ahmady AS, Samadi AR. The adverse effects of antipyretics in measles. Indian Pediatr 1981; 18:49–52.
  • 9. Bernheim HA, Bodel PT, Askenase PW et al. Effects of fever on host defense mechanisms after infection in the lizard Dipsosaurus dorsalis. Br J Exp Pathol 1978; 59: 76–84.
  • 10. Ruiz-Gomez J, Isaacs A. Interferon production by different viruses. Virology 1963; 19:8–12.
  • 11. Schmitt BD. Fever phobia: misconceptions of parents about fevers. Am J Dis Child 1980; 134(2): 176-81.
  • 12. Crocetti M, Moghbeli N, Serwint J. Fever phobia revisited: have parental misconceptions about fever changed in 20 years. Pediatrics 2001; 107:1241-1246.
  • 13. Halıcıoğlu O, Koç F, Akman SA, Teyin A. In feverish children, mothers’ knowledge and home management about fever and its relationship with sociodemographical characteristics. (In Turkish) Journal of Dr. Behcet Uz Children's Hospital 2011;1(1):13-19.
  • 14. Saz EU, Koturoğlu G, Duyu M et al.Fear of Fever and Fever Management in Turkish Families (In Turkish) J Pediatr Inf 2009; 3:161-4.
  • 15. Esenay F, İşler A, Kurugöl Z et al. Mothers’ approach to feverish child and fever phobia. (In Turkish) Turk Arch Ped 2007;42:57-60.
  • 16. Nerkiz P, Doğaner YÇ, Aydoğan Ü et al. Families’ Approach to Feverish Children and Fever Awareness. (In Turkish) Euras J FamMed 2012;1(1):11-16.
  • 17. Yiğit R, Esenay F, Şen E, Serinol Z. Mothers’ Information and Applications about High Fever. (In Turkish) Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2003; 6:48-56.
  • 18. Celasin NŞ, Ergin D, Atman Ü. Attitudes and Knowledge Concerning High Temperature of Mothers Have 0-6 Age Group Infants Who Are Hospitalized Due To High Temperature Ailments. (In Turkish) Fırat University Med J of Health Sciences2008;22(6): 315-322
  • 19. El-Radhi ASM. Fever management: Evidence vs current practice. World J Clin Pediatr 2012; 1(4): 29-33.
  • 20. Saz EU, Koturoğlu G, Duyu M et al. Fears of Fever and Fever Management in Turkish Families. (In Turkish), Pediatr Inf 2009; 3: 161-164.
  • 21. Araz NÇ. Parents’ Approach to Fever in Childhood: Knowledge, Attitudes and Applications. (In Turkish), Turkish J Pediatr Dis 2013; 1: 27-32.
  • 22. Kramer M, Naimark L, Leduc D. Parental fever phobia and its correlates. Pediatrics 1985. 75:1110-1113.
  • 23. Arıca SG, Arica V, Onur H et al. Knowledge, Attitude and Response of Mothers about Fever in Their Children. Emerg Med J 2012; 29: e4.
  • 24. Eliaçık K, Kanık A, Oyman G et al. Knowledge, Belief and Misconceptions of the Parents about Fever. (In Turkish) J of Adnan Menderes Uni Med Fac 2012;13(1): 5-7
  • 25. McErlean MA, Bartfield JM, Kennedy DA et al. Home antipyretic use in children brought to the emergency department Pediatr Emerg Care 2001; 17(4): 249-251.
There are 25 citations in total.

Details

Primary Language Turkish
Subjects ​Internal Diseases
Journal Section Orijinal Articles
Authors

Barış Karabulut This is me

Kenan Topal

Çiğdem Gereklioğlu

Hüseyin Aksoy This is me

Ümit Çelik

Publication Date June 18, 2019
Submission Date January 14, 2019
Published in Issue Year 2019 Volume: 13 Issue: 2

Cite

Vancouver Karabulut B, Topal K, Gereklioğlu Ç, Aksoy H, Çelik Ü. Factors Affecting the Presence of Fever in Children Brought to the Emergency Department with Fever Complaint. TJFMPC. 2019;13(2):212-8.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.